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UnitedHealthcare Community Plan for Kids Lookup Tools

Find A Provider

Use this tool to search our network of health care providers for specialists, hospitals, laboratories, X-ray centers and more.

Remember, your primary care physician makes referrals to other health care providers for you. Also, when visiting a specialist, be sure to identify yourself as a member and present your ID card.

Search for Provider

Links and Resources

LabCorp Laboratories

Find A Drug

Search for drugs covered by UnitedHealthcare Community Plan for Kids

Preferred Drug List

Pennsylvania Statewide Preferred Drug List Effective - January 1, 2020

Preferred Drug List Updates

Specialty Drug List

90 Day Supply Drug List

Brand and/or generic may be excluded from coverage. Lower-cost options are available and covered. Please see the 90 Day Supply Drug List for more information.

Direct Member Reimbursement Form

Download the Direct Member Reimbursement Form.

Find A Dentist

To search for a dental provider, click on the link below, select a location, and then choose the name of your health plan.

Search for a dental provider

Find A Pharmacy

Search for a UnitedHealthcare network pharmacy below.

Search for a Pharmacy

Learn More

UnitedHealthcare Community Plan for Kids

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Benefits, features and/or devices vary by plan/area. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  

Nurseline Disclaimer

The NurseLine service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. Access to this service is subject to terms of use.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Every year, Medicare evaluates plans based on a 5-star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through YEAR based on a review of UnitedHealthcare Connected’s Model of Care. UnitedHealthcare Connected has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until YEAR based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

For more detailed information on provider directory data, you may use the following link:

Important Provider Information URL: https://www.uhc.com/legal/provider

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

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Last Updated: 09.16.2020 at 02:51 PM CDT

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